Silent aspiration and recovery from dysphagia in a case of bickerstaff brainstem encephalitis

Bickerstaff brainstem encephalitis (BBE) is a rare inflammatory demyelinating disease with rapid progression typically followed by complete recovery. Reports of dysphagia in this population are limited and general. The purpose of this article is to heighten awareness of the potential for silent aspi...

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Bibliographic Details
Published in:Military medicine 2013-01, Vol.178 (1), p.e121-e124
Main Authors: Dietrich-Burns, Katie, Lewis, W J Bryan, Lesley, Daniel Y, Solomon, Nancy Pearl
Format: Article
Language:English
Subjects:
Adult
Apheresis
Ataxia
Brain Stem
Campylobacter
Cerebrospinal fluid
Consciousness
Deglutition - physiology
Deglutition Disorders - etiology
Deglutition Disorders - physiopathology
Dysarthria
Dysphagia
Encephalitis
Encephalitis - complications
Follow-Up Studies
Gastrointestinal diseases
Humans
Illnesses
Magnetic resonance imaging
Male
Ostomy
Patient safety
Recovery of Function
Steroids
Swallowing
Tracheotomy
Urinary retention
Viruses
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Description
Summary:Bickerstaff brainstem encephalitis (BBE) is a rare inflammatory demyelinating disease with rapid progression typically followed by complete recovery. Reports of dysphagia in this population are limited and general. The purpose of this article is to heighten awareness of the potential for silent aspiration in patients with BBE. This article details the nature of dysphagia during the recovery phase of BBE and includes findings from serial videofluoroscopic swallowing evaluations. In addition, it shows the impact of cognitive impairment on the ability to eat safely. Early instrumental swallowing evaluation, close monitoring, and conservative management are essential to ensure safety in patients recovering from BBE.
ISSN:0026-4075
1930-613X
DOI:10.7205/MILMED-D-12-00268